Wayne J Pharo a Professional Medical Corporation

NPI #1245278670 in Thibodaux, Louisiana

Provider Information

NPI Number: 1245278670
Entity Type: Organization
Organization Name: Wayne J Pharo a Professional Medical Corporation
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2006
Last Updated: Sep 9, 2014

Practice Location

Address: 400 N ACADIA RD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-4856
Phone: (985) 448-0649

Authorized Official

Name: DR. WAYNE J PHARO, M.D.
Title: OWNER
Phone: (985) 448-0649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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